Organization
EDUCARE COMMUNITY LIVING CORPORATION - NORTH CAROLINA
Active
Other names
Community Alternatives North Carolina
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEENA G. OMBRES (ASSOC. GEN. COUNSEL/PRIVACY OFFICER)
(502) 394-2100
Entity
Organization
Contact information
Practice address
1514 KENNON RD, GARNER, NC 27529-4431
(919) 773-9360
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
(502) 394-2100
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-092-242
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408589
—
NC
Enumeration date
08/09/2013
Last updated
08/09/2013
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